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General NPI Number Information
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NPI Number | 1477299253
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Entity Type | Organization
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Legal Business Name | KEVIN GRILL DDS, LLC
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 7421 STATE ROUTE 366
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City | HUNTSVILLE
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State | OH
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Zip | 43324-9670
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Country | US
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Telephone | 937-843-3932
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Fax |
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Provider Business Mailing Address
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Address Line | 6446 NEWGRANGE DR
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City | DUBLIN
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State | OH
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Zip | 43016-8210
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Country | US
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Telephone | 614-827-5184
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. KEVIN BRENNAN GRILL
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Credential | DDS
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Telephone | 614-827-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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